PALLIATIVE CARE
On September 28th, ICCP launched its palliative care phase with a program launch event. Joining us to celebrate this milestone in ICCP's progress was Assistant Deputy Minister Vasanthi Srinivasan from the Health System Strategy and Policy Division, Ministry of Health and Long-Term Care, who provided opening remarks and a provincial perspective on our work. We were also pleased to have Brian Golden, Executive Director of the Collaborative for Health Sector Strategy at the Rotman School of Management, University of Toronto, present on Achieving Value in Health Care. Our third guest speaker, Margaret MacAdam, President, Age Advantage, held a session entitled Integration: Why do we care? What does it mean in palliative care?
View the archived webcast.
Download the Palliative Care Program Launch presentation slides
ICCP Palliative - Background Information
In keeping with the Excellent Care for All strategy, ICCP will work collaboratively with partners and stakeholders to develop and assess a model that encourages true integration across the entire breadth of the palliative care continuum. ICCP work centres around supporting seamless transitions in the client’s experience at multiple points within and across different care settings. Defined outcomes will help to shape strategies in developing models of alternative reimbursement (payment-for-outcomes), intended to provide greater autonomy and accountability and to encourage top performance and pursuit of innovation.
The ICCP model implemented in the palliative care population will be supported by sites divided into 3 streams of involvement, as follows:
Spotlight Sites: The Spotlight Sites, championed by LHINs and CCACs, will focus on a system-wide approach to implement the ICC model and integrate palliative services. This will involve End-of-Life Networks, interested CCAC contracted providers, hospitals, Community Support Service (CSS) agencies, residential hospices, primary care, Long-Term Care Facilities and other palliative providers in the community. We will test integration of the entire system utilizing the ICCP key elements of design. Quality Improvement work will be focused on standardizing and streamlining client referrals, assessment and related information flow, designed to improve horizontal integration across organizations and sectors.
Home Care Improvement Sites: A collaborative effort among interested CCACs and their partners to improve the quality and impact of CCAC palliative care delivery. Sharing lessons learned and using knowledge gained through Spotlight Sites, moving toward consistent measurement and impact assessment practices; incorporates some or all of the ICCP Palliative key elements of design. The Quality Improvement work will focus on critical components of CCAC related vertical integration including integrated clinical service delivery, reimbursement and outcomes monitoring.
Leading Practice Assessment Sites: LHINs and CCACs who are already leaders and innovators in any aspect of integrated care delivery to palliative clients and are willing to be evaluated and recognized through ICCP. This may involve publications, expositions, workshops to demonstrate, highlight and share work. Will involve ongoing measurement using a consistent framework and a time limited evaluative study.
We are happy to announce that the following CCACs and LHINs are participating in ICCP-Palliative:
PARTICIPATING SITES
Spotlight Sites: Hamilton Niagara Haldimand Brant CCAC and LHIN with Bayshore; Mississauga Halton CCAC and LHIN with Spectrum; Waterloo Wellington CCAC and LHIN with Bayshore
Home Care Improvement Sites: Central West CCAC with Bayshore and Toronto Central CCAC with Spectrum/St. Elizabeth
Leading Practice Assessment Site: South East CCAC
Evaluation
We are pleased to inform you that an evaluation team has now been chosen to work with us on assessing the impact of ICCP’s work in palliative care. The Palliative Impact Assessment team will work under the leadership of Dr. Hsien Seow, presently Assistant Professor, Department of Oncology and Deparment of Clinical Epidemiology and Biostatistics at McMaster University.
The evaluation of ICCP’s palliative care component will be supported by the Institute for Clinical Evaluative Sciences (ICES) and will be performed with the aid of an Impact Assessment Framework. ICES will support the impact assessment by ensuring that appropriate external evaluators are selected and that impact assessment designs are of high quality and have scientific merit. ICES will also manage external evaluators charged with measuring impacts and effectiveness in real time throughout the course of the project’s implementation.
For background information and supporting documentation as well as to view the RFP for the evaluation, please visit the ICES website.
Download the Palliative Care Impact Assessment Framework |